<form class="fab" action="" method="">
    <ul>
	<li class="paging-context ">
	    <table class="pgStyle1 circle2" cellspacing="0">
		<tr>
		    <td class="c selected">
			<var>1</var>
		    </td>
		    <td class="t">
			<b id="pagecircle1">Untitled Page</b>
		    </td>
		    <td class="c ">
			<var>2</var>
		    </td>

		    <td class="t">
			<b id="pagecircle2">Untitled Page</b>
		    </td>
		</tr>
	    </table>
	</li>

	<li id="errorLi">
	    <h3 id="errorMsgLbl">Si Ã¨ verificato un problema durante l'invio del modulo.</h3>
	    <p id="errorMsg">
		Di seguito trovi evidenziati gli errori che abbiamo riscontrato.
	    </p>
	</li>
	<li class="section first">
	    <h3>Section Title</h3>
	    <div>Description of the section.</div>
	</li>

	<li>
	    <label class="desc">Field Title <span class="req">*</span></label>
	    <div>
		<textarea rows="10" cols="50" class="field textarea medium">The quick brown fox jumped over the lazy dog.</textarea>
	    </div>
	</li>

	<li>
	    <label class="desc">Small Field</label>
	    <div>
		<input class="field text small" type="text" maxlength="255" value="Example text."/> 
	    </div>
	</li>

	<li>
	    <label class="desc">Medium Field</label>
	    <div>
		<input class="field text medium" type="text" maxlength="255" value="Example text."/> 
	    </div>
	</li>

	<li>
	    <label class="desc">Large Field</label>
	    <div>
		<input class="field text large" type="text" maxlength="255" value="Example text."/> 
	    </div>
	</li>

	<li class="section">
	    <h3>Section Title</h3>
	    <div>Description of another section.</div>
	</li>

	<li>
	    <label class="desc">Multiple Choice</label>
	    <div>
		<span class="input"><input id="choice1" name="mc" class="field radio" type="radio" value="Robots" checked="checked" />
		    <label class="choice" for="choice1">Robots</label></span>

		<span class="input"><input id="choice2" name="mc" class="field radio" type="radio" value="Monkeys"/>
		    <label class="choice" for="choice2">Monkeys</label></span>

		<span class="input"><input id="choice3" name="mc" class="field radio" type="radio" value="Ninjas"/>
		    <label class="choice" for="choice3">Ninjas</label></span>
	    </div>
	</li>

	<li>
	    <label class="desc">Checkboxes</label>
	    <div>
		<span class="input"><input class="field checkbox" type="checkbox" value="Invisibility" checked="checked" />
		    <label class="choice">Invisibility</label></span>

		<span class="input"><input class="field checkbox" type="checkbox" value="Super Strength"/>
		    <label class="choice">Super Strength</label></span>

		<span class="input"><input class="field checkbox" type="checkbox" value="Eye Lasers"/>
		    <label class="choice">Eye Lasers</label></span>
	    </div>
	</li>

	<li class="section">
	    <h3>Section Title</h3>
	    <div>Description of another section.</div>
	</li>

	<li>
	    <label class="desc">Name</label>
	    <span class="input">
		<input class="field text" size="2" value=""/>
		<label>Title</label>
	    </span>

	    <span class="input">
		<input class="field text" size="8" value=""/>
		<label>First</label>
	    </span>

	    <span class="input">
		<input class="field text" size="14" value=""/>
		<label>Last</label>
	    </span>

	    <span class="input">
		<input class="field text" size="3" value=""/>
		<label>Suffix</label>
	    </span>
	</li>

	<li>
	    <label class="desc">Date</label>
	    <span class="input">
		<input class="field text" size="2" type="text" maxlength="2" value=""/> / 
		<label>MM</label>
	    </span>

	    <span class="input">
		<input class="field text" size="2" type="text" maxlength="2" value=""/> / 
		<label>DD</label>
	    </span>

	    <span class="input">
		<input class="field text" size="4" type="text" maxlength="4" value=""/>
		<label>YYYY</label>
	    </span>

	    <span class="input">
		<img src="images/calendar.png" class="icon" alt="Pick date." />
	    </span>
	</li>

	<li>
	    <label class="desc">Time</label>
	    <span class="input">
		<input class="field text" size="2" type="text" maxlength="2" value=""/> : 
		<label>HH</label>
	    </span>

	    <span class="input">
		<input class="field text" size="2" type="text" maxlength="2" value=""/> : 
		<label>MM</label>
	    </span>

	    <span class="input">
		<input class="field text" size="2" type="text" maxlength="2" value=""/>
		<label>SS</label>
	    </span>

	    <span class="input">
		<select class="field select" style="width:4em">
		    <option value="AM">AM</option>
		    <option value="PM">PM</option>
		</select>
		<label>AM/PM</label>
	    </span>
	</li>

	<li>
	    <label class="desc">Phone</label>
	    <span class="input">
		<input class="field text" type="text" size="3" maxlength="3" value=""/> - 
		<label>###</label>
	    </span>

	    <span class="input">
		<input class="field text" type="text" size="3" maxlength="3" value=""/> - 
		<label>###</label>
	    </span>

	    <span class="input">
		<input class="field text" type="text" size="4" maxlength="4" value=""/>
		<label>####</label>
	    </span>
	</li>

	<li>
	    <label class="desc">Price</label>
	    <span class="symbol">
		&#36;
	    </span>

	    <span class="input">
		<input class="field text currency" type="text" size="10" value=""/> .
		<label>Dollars</label>
	    </span>

	    <span class="input">
		<input class="field text" size="2" type="text" maxlength="2" value=""/>
		<label>Cents</label>
	    </span>
	</li>

	<li class="complex">
	    <label class="desc">Address</label>
	    <div>
		<span class="full">
		    <input class="field text addr" type="text" value="" />
		    <label>Street Address</label>
		</span>

		<span class="full">
		    <input class="field text addr" type="text" value="" />
		    <label>Address Line 2</label>
		</span>

		<span class="left">
		    <input class="field text addr" type="text" value="" />
		    <label>City</label>
		</span>

		<span class="right">
		    <input class="field text addr" type="text" value="" />
		    <label>State / Province / Region</label>
		</span>

		<span class="left">
		    <input class="field text addr" type="text"  maxlength="15" value="" />
		    <label>Postal / Zip Code</label>
		</span>

		<span class="right">
		    <select class="field select addr"> 
			<option value="" selected="selected"></option>
			<option value="Afghanistan">Afghanistan</option>
			<option value="Albania">Albania</option>
			<option value="Algeria">Algeria</option>
			<option value="Andorra">Andorra</option>
			<option value="Antigua and Barbuda">Antigua and Barbuda</option>

			<option value="Argentina">Argentina</option>
			<option value="Armenia">Armenia</option>
			<option value="Aruba">Aruba</option>
			<option value="Australia">Australia</option>
			<option value="Austria">Austria</option>
			<option value="Azerbaijan">Azerbaijan</option>
			<option value="Bahamas">Bahamas</option>
			<option value="Bahrain">Bahrain</option>
			<option value="Bangladesh">Bangladesh</option>

			<option value="Barbados">Barbados</option>
			<option value="Belarus">Belarus</option>
			<option value="Belgium">Belgium</option>
			<option value="Belize">Belize</option>
			<option value="Benin">Benin</option>
			<option value="Bhutan">Bhutan</option>
			<option value="Bolivia">Bolivia</option>
			<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
			<option value="Botswana">Botswana</option>

			<option value="Brazil">Brazil</option>
			<option value="Brunei">Brunei</option>
			<option value="Bulgaria">Bulgaria</option>
			<option value="Burkina Faso">Burkina Faso</option>
			<option value="Burundi">Burundi</option>
			<option value="Cambodia">Cambodia</option>
			<option value="Cameroon">Cameroon</option>
			<option value="Canada">Canada</option>
			<option value="Cape Verde">Cape Verde</option>

			<option value="Central African Republic">Central African Republic</option>
			<option value="Chad">Chad</option>
			<option value="Chile">Chile</option>
			<option value="China">China</option>
			<option value="Colombia">Colombia</option>
			<option value="Comoros">Comoros</option>
			<option value="Democratic Republic of the Congo">Democratic Republic of the Congo</option>
			<option value="Republic of the Congo">Republic of the Congo</option>
			<option value="Costa Rica">Costa Rica</option>
			<option value="C&ocirc;te d'Ivoire">C&ocirc;te d'Ivoire</option>

			<option value="Croatia">Croatia</option>
			<option value="Cuba">Cuba</option>
			<option value="Cyprus">Cyprus</option>
			<option value="Czech Republic">Czech Republic</option>
			<option value="Denmark">Denmark</option>
			<option value="Djibouti">Djibouti</option>
			<option value="Dominica">Dominica</option>
			<option value="Dominican Republic">Dominican Republic</option>
			<option value="East Timor">East Timor</option>

			<option value="Ecuador">Ecuador</option>
			<option value="Egypt">Egypt</option>
			<option value="El Salvador">El Salvador</option>
			<option value="Equatorial Guinea">Equatorial Guinea</option>
			<option value="Eritrea">Eritrea</option>
			<option value="Estonia">Estonia</option>
			<option value="Ethiopia">Ethiopia</option>
			<option value="Fiji">Fiji</option>
			<option value="Finland">Finland</option>

			<option value="France">France</option>
			<option value="Gabon">Gabon</option>
			<option value="Gambia">Gambia</option>
			<option value="Georgia">Georgia</option>
			<option value="Germany">Germany</option>
			<option value="Ghana">Ghana</option>
			<option value="Greece">Greece</option>
			<option value="Grenada">Grenada</option>
			<option value="Guatemala">Guatemala</option>

			<option value="Guinea">Guinea</option>
			<option value="Guinea-Bissau">Guinea-Bissau</option>
			<option value="Guyana">Guyana</option>
			<option value="Haiti">Haiti</option>
			<option value="Honduras">Honduras</option>
			<option value="Hungary">Hungary</option>
			<option value="Iceland">Iceland</option>
			<option value="India">India</option>
			<option value="Indonesia">Indonesia</option>

			<option value="Iran">Iran</option>
			<option value="Iraq">Iraq</option>
			<option value="Ireland">Ireland</option>
			<option value="Israel">Israel</option>
			<option value="Italy">Italy</option>
			<option value="Jamaica">Jamaica</option>
			<option value="Japan">Japan</option>
			<option value="Jordan">Jordan</option>
			<option value="Kazakhstan">Kazakhstan</option>

			<option value="Kenya">Kenya</option>
			<option value="Kiribati">Kiribati</option>
			<option value="North Korea">North Korea</option>
			<option value="South Korea">South Korea</option>
			<option value="Kuwait">Kuwait</option>
			<option value="Kyrgyzstan">Kyrgyzstan</option>
			<option value="Laos">Laos</option>
			<option value="Latvia">Latvia</option>
			<option value="Lebanon">Lebanon</option>

			<option value="Lesotho">Lesotho</option>
			<option value="Liberia">Liberia</option>
			<option value="Libya">Libya</option>
			<option value="Liechtenstein">Liechtenstein</option>
			<option value="Lithuania">Lithuania</option>
			<option value="Luxembourg">Luxembourg</option>
			<option value="Macedonia">Macedonia</option>
			<option value="Madagascar">Madagascar</option>
			<option value="Malawi">Malawi</option>

			<option value="Malaysia">Malaysia</option>
			<option value="Maldives">Maldives</option>
			<option value="Mali">Mali</option>
			<option value="Malta">Malta</option>
			<option value="Marshall Islands">Marshall Islands</option>
			<option value="Mauritania">Mauritania</option>
			<option value="Mauritius">Mauritius</option>
			<option value="Mexico">Mexico</option>
			<option value="Micronesia">Micronesia</option>

			<option value="Moldova">Moldova</option>
			<option value="Monaco">Monaco</option>
			<option value="Mongolia">Mongolia</option>
			<option value="Montenegro">Montenegro</option>
			<option value="Morocco">Morocco</option>
			<option value="Mozambique">Mozambique</option>
			<option value="Myanmar">Myanmar</option>
			<option value="Namibia">Namibia</option>
			<option value="Nauru">Nauru</option>

			<option value="Nepal">Nepal</option>
			<option value="Netherlands">Netherlands</option>
			<option value="Netherlands Antilles">Netherlands Antilles</option>
			<option value="New Zealand">New Zealand</option>
			<option value="Nicaragua">Nicaragua</option>
			<option value="Niger">Niger</option>
			<option value="Nigeria">Nigeria</option>
			<option value="Norway">Norway</option>
			<option value="Oman">Oman</option>
			<option value="Pakistan">Pakistan</option>

			<option value="Palau">Palau</option>
			<option value="Palestine">Palestine</option>
			<option value="Panama">Panama</option>
			<option value="Papua New Guinea">Papua New Guinea</option>
			<option value="Paraguay">Paraguay</option>
			<option value="Peru">Peru</option>
			<option value="Philippines">Philippines</option>
			<option value="Poland">Poland</option>
			<option value="Portugal">Portugal</option>
			<option value="Qatar">Qatar</option>

			<option value="Romania">Romania</option>
			<option value="Russia">Russia</option>
			<option value="Rwanda">Rwanda</option>
			<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
			<option value="Saint Lucia">Saint Lucia</option>
			<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
			<option value="Samoa">Samoa</option>
			<option value="San Marino">San Marino</option>
			<option value="Sao Tome and Principe">Sao Tome and Principe</option>

			<option value="Saudi Arabia">Saudi Arabia</option>
			<option value="Senegal">Senegal</option>
			<option value="Serbia and Montenegro">Serbia and Montenegro</option>
			<option value="Seychelles">Seychelles</option>
			<option value="Sierra Leone">Sierra Leone</option>
			<option value="Singapore">Singapore</option>
			<option value="Slovakia">Slovakia</option>
			<option value="Slovenia">Slovenia</option>
			<option value="Solomon Islands">Solomon Islands</option>

			<option value="Somalia">Somalia</option>
			<option value="South Africa">South Africa</option>
			<option value="Spain">Spain</option>
			<option value="Sri Lanka">Sri Lanka</option>
			<option value="Sudan">Sudan</option>
			<option value="Suriname">Suriname</option>
			<option value="Swaziland">Swaziland</option>
			<option value="Sweden">Sweden</option>
			<option value="Switzerland">Switzerland</option>

			<option value="Syria">Syria</option>
			<option value="Taiwan">Taiwan</option>
			<option value="Tajikistan">Tajikistan</option>
			<option value="Tanzania">Tanzania</option>
			<option value="Thailand">Thailand</option>
			<option value="Togo">Togo</option>
			<option value="Tonga">Tonga</option>
			<option value="Trinidad and Tobago">Trinidad and Tobago</option>
			<option value="Tunisia">Tunisia</option>

			<option value="Turkey">Turkey</option>
			<option value="Turkmenistan">Turkmenistan</option>
			<option value="Tuvalu">Tuvalu</option>
			<option value="Uganda">Uganda</option>
			<option value="Ukraine">Ukraine</option>
			<option value="United Arab Emirates">United Arab Emirates</option>
			<option value="United Kingdom">United Kingdom</option>
			<option value="United States">United States</option>
			<option value="Uruguay">Uruguay</option>

			<option value="Uzbekistan">Uzbekistan</option>
			<option value="Vanuatu">Vanuatu</option>
			<option value="Vatican City">Vatican City</option>
			<option value="Venezuela">Venezuela</option>
			<option value="Vietnam">Vietnam</option>
			<option value="Yemen">Yemen</option>
			<option value="Zambia">Zambia</option>
			<option value="Zimbabwe">Zimbabwe</option>

		    </select>
		    <label>Country</label>
		</span>
	    </div>
	</li>

	<li>
	    <label class="desc">Website</label>
	    <div>
		<input class="field text large" type="url" maxlength="255" value="http://"/> 
	    </div>
	</li>

	<li class="complex">
	    <label class="desc">File Upload</label>
	    <div>
		<span class="input"><input class="field file" type="file" value=""/></span>
	    </div>
	</li>
	<li id="fo2li107" class="likert 
	    col4
	    ">

	    <table cellspacing="0">
		<caption id="title107">
		    Evaluate the following statements.
		</caption>
		<thead>
		    <tr>
			<th>&nbsp;</th>
			<td >Strongly Disagree</td>
			<td >Disagree</td>
			<td >Agree</td>
			<td >Strongly Agree</td>
		    </tr>
		</thead>

		<tbody>
		    <tr class="statement107">
			<th><label for="Field107">Statement One</label></th>
			<td title="Strongly Disagree" >
			    <input id="Field107_1" name="Field107" type="radio" tabindex="7" value="Strongly Disagree" onchange="handleInput(this);" />
			    <label for="Field107_1">1</label>
			</td>
			<td title="Disagree" >
			    <input id="Field107_2" name="Field107" type="radio" tabindex="8" value="Disagree" onchange="handleInput(this);" />
			    <label for="Field107_2">2</label>
			</td>
			<td title="Agree" >
			    <input id="Field107_3" name="Field107" type="radio" tabindex="9" value="Agree" onchange="handleInput(this);" />
			    <label for="Field107_3">3</label>

			</td>
			<td title="Strongly Agree" >
			    <input id="Field107_4" name="Field107" type="radio" tabindex="10" value="Strongly Agree" onchange="handleInput(this);" />
			    <label for="Field107_4">4</label>
			</td>
		    </tr>
		    <tr class="alt statement108">
			<th><label for="Field108">Statement Two</label></th>
			<td title="Strongly Disagree" >
			    <input id="Field108_1" name="Field108" type="radio" tabindex="11" value="Strongly Disagree" onchange="handleInput(this);" />
			    <label for="Field108_1">1</label>
			</td>
			<td title="Disagree" >
			    <input id="Field108_2" name="Field108" type="radio" tabindex="12" value="Disagree" onchange="handleInput(this);" />

			    <label for="Field108_2">2</label>
			</td>
			<td title="Agree" >
			    <input id="Field108_3" name="Field108" type="radio" tabindex="13" value="Agree" onchange="handleInput(this);" />
			    <label for="Field108_3">3</label>
			</td>
			<td title="Strongly Agree" >
			    <input id="Field108_4" name="Field108" type="radio" tabindex="14" value="Strongly Agree" onchange="handleInput(this);" />
			    <label for="Field108_4">4</label>
			</td>
		    </tr>
		    <tr class="statement109">
			<th><label for="Field109">Statement Three</label></th>

			<td title="Strongly Disagree" >
			    <input id="Field109_1" name="Field109" type="radio" tabindex="15" value="Strongly Disagree" onchange="handleInput(this);" />
			    <label for="Field109_1">1</label>
			</td>
			<td title="Disagree" >
			    <input id="Field109_2" name="Field109" type="radio" tabindex="16" value="Disagree" onchange="handleInput(this);" />
			    <label for="Field109_2">2</label>
			</td>
			<td title="Agree" >
			    <input id="Field109_3" name="Field109" type="radio" tabindex="17" value="Agree" onchange="handleInput(this);" />
			    <label for="Field109_3">3</label>
			</td>
			<td title="Strongly Agree" >
			    <input id="Field109_4" name="Field109" type="radio" tabindex="18" value="Strongly Agree" onchange="handleInput(this);" />

			    <label for="Field109_4">4</label>
			</td>
		    </tr>
		</tbody>
	    </table>
	</li>
	<li id="fo2li208" class="date      ">
	    <label class="desc" id="title208" for="Field208">
		Date
	    </label>
	    <span class="input">
		<input id="Field208-1" name="Field208-1" type="text" class="field text" value="" size="2" maxlength="2" tabindex="19" onkeyup="handleInput(this);" onchange="handleInput(this);" />
		<label for="Field208-1">MM</label>

	    </span> 
	    <span class="symbol">/</span>
	    <span class="input">
		<input id="Field208-2" name="Field208-2" type="text" class="field text" value="" size="2" maxlength="2" tabindex="20" onkeyup="handleInput(this);" onchange="handleInput(this);" />
		<label for="Field208-2">GG</label>
	    </span>
	    <span class="symbol">/</span>
	    <span class="input">
		<input id="Field208" name="Field208" type="text" class="field text" value="" size="4" maxlength="4" tabindex="21" onkeyup="handleInput(this);" onchange="handleInput(this);" />
		<label for="Field208">AAAA</label>
	    </span>
	    <span id="cal208">

		<img id="pick208" class="datepicker" src="/images/icons/calendar.png" alt="Pick a date." />
	    </span>
	    <script type="text/javascript">
		Calendar.setup({
		    inputField : "Field208",
		    displayArea  : "cal208",
		    button : "pick208",
		    ifFormat : "%B %e, %Y",
		    onSelect : selectDateOnForm
		});
	    </script>
	</li>
	<li class="buttons">
	    <input id="saveForm" class="btTxt" type="submit" value="Submit" />
	</li>
    </ul>

</form>